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Employee Health Benefit Accounts

As an important part of your benefits strategy, health benefits accounts such as a flexible spending account (FSA), health savings account (HSA), or health reimbursement arrangement (HRA) can help you attract employees, reduce your tax bill, and control healthcare costs, especially in combination with a high-deductible health insurance plan.

What You Get With Employee Health Benefits Accounts

Health benefit plans allow employers and employees to set aside funds pretax to help employees pay for qualified medical expenses. Included with employee health care spending and benefits accounts:

  • Tax savings for employers and/or employees
  • Tax-free distributions/claims for qualified medical expenses
  • Unused contributions may be carried over to future years for an HSA and at the employer’s discretion for an HRA
  • Qualified distributions of earnings from HSA are tax-free
  • Certain benefits may be transferred between employers
  • Support from Paychex benefit specialists

Benefit Account Options

Flexible Spending Account (FSA)

An FSA allows employers and employees to set pretax money aside to pay for qualified out-of-pocket healthcare costs.

Dependent Care Flexible Spending Account

A dependent care FSA allows your employees to set aside pretax dollars to pay for eligible dependent childcare or elder care expenses.

Health Savings Account (HSA)

Similar to an FSA, an HSA allows your business and employees to set aside pretax money to pay for qualified health expenses. An HSA may also earn tax-free interest.

Health Reimbursement Arrangement (HRA)

An HRA is funded by employers to help their employees pay for qualified medical expenses that their health plan doesn’t cover.

Simplify Employee Health Care With Benefit Accounts

Provide Access to HRA, HSA, and FSA Specialists

Simply call our toll-free support line and our Paychex specialists can help you set up and manage your employee benefit accounts.

Help Employees Save on Taxes

Benefit accounts can help employees save an average of 30% in federal, state, and local taxes on out-of-pocket premiums, and an average of $115 per participant in FICA payroll taxes.1

Reduce Your Tax Liability With Health Benefit Accounts Administration

Reduce FICA taxes with benefit accounts, since contributions are made before taxes are taken out. This could effectively reduce an employee’s taxable income.

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